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Biomedical subjects

G Tomlin

Publications and source records attributed to G Tomlin.

9 recordsLinked to original sources

Educational techniques used in occupational therapy treatment of cumulative trauma disorders of the elbow, wrist, and hand.

OBJECTIVE: This study examined patient education techniques used by occupational therapists when treating cumulative trauma disorders (CTDs) of the elbow, wrist, and hand. METHOD: A self-administered survey was sent to 232 registered occupational therapists whose primary area of practice was hand therapy. The questionnaire sought information about specific content areas and methods (i.e., media, format) used to educate patients about preventing the recurrence of CTDs in the elbow, wrist, and hand. RESULTS: One hundred twenty-eight therapists responded to the survey. A majority of respondents (n = 116) reported that patient education content area consisted of anatomy of the joint, the CTD disease process, and job modification. Verbal instruction, illustrations, and pamphlets and handouts were the most frequently used forms of educational media. A majority of respondents (n = 111) also reported that individual interaction was the most common format of patient education. CONCLUSION: The findings indicate that a majority of therapists use the same patient education techniques with regard to content areas, media, and format, regardless of the area being treated (i.e., elbow, wrist, hand). Furthermore, it appears that therapists with specialty training in CTDs more frequently include anatomy of the elbow, job modification, and proper body mechanics in the content of their patient education about the elbow.

Adult↗

American Occupational Therapy Association Accreditation Committee Reliability Study.

The purpose of the study was to augment the previous CAHEA and AOTA Commission on Education validity and reliability studies with a reliability study focused on the accrediting activity processes within AOTA in conjunction with CAHEA. The three objectives of the study were to establish (1) the internal consistency of AC, RAE, and AMA raters; (2) interrater reliability among AC, RAE, and AMA raters; and (3) accuracy of AC, RAE, and AMA raters. Overall, the RAE raters were most internally consistent in their ratings (.94), followed by the AC (.93), and the AMA (.88). Because many of the RAE raters have participated recently in the new AOTA accreditation orientation workshop, it is not unusual that their ratings would have the least variability and be so closely matched to those of the AC raters. On the basis of these results, the raters in this study (44.5% of the total population of raters) could be expected to be highly consistent as they evaluate Essentials that are usually in compliance, many times out of compliance, and those in-between. Interrater reliability among all raters for all five Essentials and all four decision points was established at .93 with percent agreement with absolute concordance. Interrater reliability among AC and RAE raters only achieved .95 percent agreement. As more data were available (i.e., at Decision 3 and Decision 4), rater concordance increased. By Decision 4, the most critical decision point because these data constitute the Report of On-Site Evaluation (ROSE), percent agreement ranged from .83 to .96 for all three rating groups, and .86 to 1.00 for the AC and RAE raters.(ABSTRACT TRUNCATED AT 250 WORDS)

Accreditation↗

Abnormal hemoglobins in a quarter million people.

Hemolysates of erythrocytes from more than a quarter million people in Alabama were electrophoresed on cellulose acetate, pH 8.4, and those samples exhibiting an abnormality were also electrophoresed in citrate agar, pH 6.0. The globin chains of mutants other than Hb S and C were electrophoresed in urea-mercaptoethanol buffers at both pH 8.9 and pH 6.0, and 60 of them were also analyzed structurally. Of about 6000 samples from whites, only three contained abnormal hemoglobins--Hb D Los Angeles, Hb J Baltimore, and one unidentified. Of 249,000 samples from blacks, about 29,000 contained electrophoretically detectable abnormalities, most of them associated with Hb S or C, present in a frequency of about 9% and 3%, respectively. About 1000 samples resolved into patterns of potential clinical significance. Twenty other mutant hemoglobins were detected, in various genetic combinations in 164 kindreds; four of these-Hb Alabama, Montgomery, Titusville, and Mobile--were previously unknown. The methods used are rapid, economical, and well suited for large scale surveys. They provide highly specific characterizations of many mutant hemoglobins, and no discrepancies were found between the presumptive identifications based on these characterizations and the definitive identifications obtained from structural analyses.

Alabama↗

Two new hemoglobins. Hemoglobin Alabama (beta39(C5)Gln leads to Lys) and hemoglobin Montgomery (alpha 48(CD 6) Leu leads to Arg).

The amino acid substitutions in two new hemoglobins found by electrophoretic screening during a survey in Alabama have been determined by column chromatography and amino acid analyses of their tryptic peptides. They are hemoglobin Alabama (beta 39(C 5)Gln leads to Lys) and hemoglobin Montgomery (alpha 48(CD 6) Leu leads to Arg). No harmful symptoms have been attributed to the presence of either hemoglobin.

Adult↗

Hb Mobile [alpha2beta2 73(E17)Asp replaced by Val]: a new variant.

A new hemoglobin variant found in a mother and her child was characterized by column chromatography of the tryptic hydrolysate of the aminoethylated, glycinamidated beta-chain, followed by chymotryptic digestion of the abnormal beta T-9 peptide and amino acid analyses. It was shown to be alpha2beta2 73(E17)Asp replaced by Val and named by Hb Mobile.

Adult↗